User Guide - Medtronic Diabetes

Transcription

User Guide
THERAPY MANAGEMENT SOFTWARE FOR DIABETES
6025179-026_a
REF MMT-7335
© 2011 Medtronic MiniMed, Inc. All rights reserved.
Paradigm® Veo™ is a trademark of Medtronic MiniMed, Inc.
Paradigm®, Paradigm Link®, Guardian REAL-Time®, CareLink®, and Bolus Wizard® are registered trademarks of Medtronic MiniMed, Inc.
BD Logic® is a registered trademark of Becton, Dickinson and Company.
CONTOUR®, GLUCOFACTS®, ASCENSIA™, GLUCOMETER™, DEX™, ELITE™, and BREEZE® are trademarks of Bayer.
LifeScan®, OneTouch® UltraLink™, OneTouch® Profile®, OneTouch® Ultra®, OneTouch® UltraSmart®, OneTouch® Basic®, OneTouch® FastTake®, OneTouch® SureStep®, OneTouch®
UltraMini®, OneTouch® Ultra® 2, and OneTouch® UltraEasy® are trademarks of LifeScan, Inc.
Optium Xceed™, Precision Xceed™, Precision Xtra®, Therasense FreeStyle®, FreeStyle® Flash, FreeStyle Mini®, and FreeStyle Papillon™ mini are trademarks of Abbott Laboratories, Inc.
ACCU-CHEK® Active, ACCU-CHEK® Aviva, ACCU-CHEK® Compact, and ACCU-CHEK® Compact Plus are registered trademarks of a member of the Roche Group.
Java™ is a trademark of Sun Microsystems, Inc.
Microsoft® and Windows® are registered trademarks of Microsoft Corporation.
Adobe® and Acrobat® Reader® are registered trademarks of Adobe Systems, Incorporated.
Contacts:
Africa:
Medtronic Africa (Pty) Ltd.
Tel: +27 (0) 11 677 4800
Australia:
Medtronic Australasia Pty. Ltd.
Tel: 1800 668 670 (product orders)
Tel: 1800 777 808 (customer help)
Europe:
Medtronic Europe S.A. Europe, Middle East and Africa
Headquarters
Tel: +41 (0) 21-802-7000
France:
Medtronic France S.A.S.
Tel: +33 (0) 1 55 38 17 00
Azerbaijan:
Albatros Health Care
Tel: +994 12 498 9537
Hellas:
Medtronic Hellas S.A.
Tel: +30 210677-9099
Bangladesh
Sonargaon Healthcare Pvt Ltd.
Mobile: (+91)-9903995417
or (+880)-1714217131
Hong Kong:
Medtronic International Ltd.
Tel: +852 2919-1300
To order supplies: +852 2919-1322
24-hour helpline: +852 2919-6441
Belarus:
Badgin Ltd
Tel: +375 (172) 665128
België/Belgique:
N.V. Medtronic Belgium S.A.
Tel: 0800-90805
Bosnia and Herzegovina
Intermedical
Tel: +387 33 202 183
Fax: +387 33 202 183
Brasil:
Medtronic Comercial Ltda.
Tel: +(11) 3707-3707
Bulgaria
Interagro-90 Ltd
Tel: +359 888 636 033
Canada:
Medtronic of Canada Ltd.
Tel: 1-800-284-4416 (toll free/sans-frais)
China:
Medtronic (Shanghai) Ltd.
24 Hour Help (Cell): +86 400-820-1981
24 Hour Help (Landline): +86 800-820-1981
Croatia
Oktal Pharma
Tel: +385 1 659 57 77
Fax: +385 1 659 57 01
India:
India Medtronic Pvt. Ltd
Tel: (+91)-80-22112245 / 32972359
Mobile: (+91)-9611633007
Indonesia:
Tel: +65 6436 5090
or +65 6436 5000
Israel:
Agentek
Tel: +972 3649 3111
Italia:
Medtronic Italia S.p.A.
Tel: +39 02 24137 261
Fax: +39 02 24138 210
Servizio assistenza tecnica: Nº verde
24h: 800 712 712
Japan:
Medtronic Japan Co. Ltd.
Tel: +81-3-6430-2019
Kazakhstan:
Medtronic Kazakhstan B.V.
Tel: +77273110580
Latin America:
Medtronic, Inc.
Tel: 1(305) 500-9328
Fax: 1(786) 709-4244
Croatia
Medtronic B.V.
Tel: +385 1 488 11 20
Fax: +385 1 484 40 60
Latvija:
Ravemma Ltd.
Tel: +371 7273780
Danmark:
Medtronic Danmark A/S
Tel: +45 32 48 18 00
Macedonia:
Kemofarm
Tel: +389 2 260 36 03
Fax: +389 2 260 36 49
Deutschland:
Medtronic GmbH
Geschäftsbereich Diabetes
Telefon: +49 2159 8149-370
Telefax: +49 2159 8149-110
24-Stdn-Hotline: 0800 6464633
Eire:
Accu-Science LTD.
Tel: +353 45 433000
España:
Medtronic Ibérica S.A.
Tel: +34 91 625 05 42
Fax: +34 91 625 03 90
24 horas: +34 901 120 335
Magyarország:
Medtronic Hungária Kft.
Tel: +36 1 889 0688
Malaysia:
Tel: +603 7946 9000
Middle East and North Africa:
Regional Office
Tel: +961-1-370 670
Montenegro:
Glosarij
Tel: +382 20 642 495
Fax: +382 20 642 540
Nederland, Luxembourg:
Medtronic B.V.
Tel: +31 (0) 45-566-8291
Gratis: 0800-3422338
Slovenská republika:
Medtronic Slovakia o.z.
Tel: +421 26820 6986
Fax: +421 268 206 999
New Zealand:
Medica Pacifica
Phone: 64 9 414 0318
Free Phone: 0800 106 100
Sri Lanka
Swiss Biogenics Ltd.
Mobile: (+91)-9003077499
or (+94)-777256760
Norge:
Medtronic Norge A/S
Tel: +47 67 10 32 00
Fax: +47 67 10 32 10
Suomi:
Medtronic Finland Oy
Tel: +358 20 7281 200
Help line: +358 400 100 313
POCCИЯ:
Medtronic B. V.
Tel: +7 495 580 73 77
24h: 8-800-200-76-36
Sverige:
Medtronic AB
Tel: +46 8 568 585 10
Fax: +46 8 568 585 11
Philippines:
Tel: +65 6436 5090
or +65 6436 5000
Taiwan:
Medtronic-Taiwan Ltd.
Tel: +886.2.2183.6068
Toll Free: +886.0800.005.285
Polska:
Medtronic Poland Sp. Z.o.o.
Tel: +48 22 465 6934
Thailand:
Medtronic (Thailand) Ltd.
Tel: +662 232 7400
Portugal:
Medtronic Portugal Lda
Tel: +351 21 7245100
Fax: +351 21 7245199
Turkiye:
Medtronic Medikal Teknoloji
Ticaret Ltd. Sirketi.
Tel: +90 216 4694330
Puerto Rico:
Medtronic Puerto Rico
Tel: 787-753-5270
USA:
Medtronic Diabetes Global Headquarters
Tel: +1-800-826-2099
24 Hour HelpLine: +1-818-576-5555
To order supplies: +1-800-843-6687
Republic of Korea:
Medtronic Korea, Co., Ltd.
Tel: +82.2.3404.3600
Romania:
Trustmed SRL
Tel: +40 (0) 21 220 6477
Schweiz:
Medtronic (Schweiz) AG
Tel: +41 (0)31 868 0160
24-Stunden-Hotline: 0800 633333
Fax Allgemein: +41 (0)318680199
Serbia
Epsilon
Tel: +381 11 311 5554
Fax: +381 11 311 5554
Singapore:
Tel: +65 6436 5090
or +65 6436 5000
Slovenija:
Zaloker & Zaloker d.o.o.
Tel: +386 1 542 51 11
Fax: +386 1 542 43 32
Ukraine:
Med EK Service Ltd.
Tel: +380445457705
United Kingdom:
Medtronic Ltd.
Tel: +44 1923-205167
Österreich:
Medtronic Österreich GmbH
Tel: +43 (0) 1 240 44-0
24 – Stunden – Hotline: 0820 820 190
Česká republika:
Medtronic Czechia s.r.o.
Tel: +420 233 059 401
Non-stop help line:
+420 233 059 059
Contents
Chapter 1
Chapter 2
1
Introduction
1
2
2
2
2
4
5
5
Features
Security
Related documents
Assistance
Supported devices
Ordering
How to use this guide
User safety
7
Getting started
7
7
8
8
8
8
9
9
9
10
10
11
11
12
13
13
13
14
14
14
14
15
Before you begin
Primary system tasks
Navigating the system
Opening CareLink Pro
Workspaces
Toolbar
Patient tabs
The Guide Me feature
Turning Guide Me on and off
Opening patient records
Closing patient records
Setting system preferences
General preferences
Patient profile preferences
Choosing data fields
Adding a custom field
Changing the order of data fields
Finalizing patient profile preferences
Patient Lookup preferences
Choosing data to display
Changing the column order
Finalizing patient lookup preferences
CareLink Pro User Guide
Contents v
15
15
17
17
Chapter 3
Chapter 4
Chapter 5
Chapter 6
Chapter 7
Report Generation preferences
Finalizing report generation preferences
18
Profile workspace
18
19
19
19
20
Before you begin
Adding new profiles
Editing patient profiles
Deleting patient data from the system
Linking to CareLink Personal
23
Hardware setup
23
Connecting devices
26
Devices workspace
26
27
27
29
31
32
Before you begin
Adding a device
Adding a Medtronic pump or Guardian monitor
Adding a meter
Making a device active or inactive
Reading device data
35
Reports workspace
35
36
36
36
36
37
37
38
39
40
41
41
41
41
42
42
42
43
43
43
43
Before you begin
Creating reports
Opening the Reports workspace
Selecting the reporting period
Data calendar
Selecting source data to include
Checking for device data
Getting additional device data
Verifying report settings
Selecting report types and inclusion dates
Generating reports
About reports
Dashboard and Episode Summary
Therapy Management Dashboard
Episode Summary
Adherence Report
Sensor and Meter Overview Report
Logbook Report
Device Settings Snapshot
Daily Detail Report
Exporting data
45
System administration
Contents vi
45
46
46
46
46
47
47
Applying software updates
Turning off automatic updates
Manually checking for updates
Backing up and restoring the database
Backing up the database
Restoring the database
When the system is unavailable
48
Troubleshooting
48
48
49
49
50
50
50
General application use errors
Not connected to the database
Forgot the clinic password for CareLink Pro
Device read errors
Report creation errors
Backup and restore errors
Uninstalling the software
Chapter 9
52
Icon table
Appendix A
53
CSV data
53
54
55
Column data definitions
More about CSV files exported by CareLink Pro
If data is not displaying as expected
Chapter 8
Glossary
56
Index
59
Contents vii
Contents viii
1
Introduction
Thank you for choosing Medtronic Diabetes as your partner in helping you and your patients
better manage diabetes therapy. We believe you will benefit from CareLink® Pro software’s
leading edge technology and simple, menu-driven user interface.
CareLink Pro allows you to acquire, store, and report patient treatment and diagnostic data. You
can also use it to access pump, meter, and sensor-based glucose data your patients have
uploaded to CareLink® Personal, a web-based therapy management system that works with
CareLink Pro.
Features
CareLink Pro is a diabetes therapy management software for a personal computer (PC). It includes
these features:
•
Patient records can be created to store data gathered from a patient’s device as well as
therapy data from his or her CareLink Personal account.
•
Data from insulin pumps, monitors, and blood glucose meters can be sent to the system,
stored, and then used to generate reports.
•
As an option, it interfaces with the CareLink Personal system, allowing access to device data
patients have stored there. This is ideal for creating current reports between office visits, and
may make the need to read device data during office visits unnecessary.
•
Different treatment reports can be created from device data stored in the patient’s record.
Reports facilitate answers to therapy concerns, such as patient adherence, patterns, and
exceptions.
•
The system alerts you when software updates are available to be downloaded and installed.
This ensures you have access to the latest features.
•
The Guide Me feature helps users who are new to CareLink Pro. It gives hints and tips about
the tasks they are performing.
•
An integrated help system is available throughout the software to provide information on
specific areas of interest.
Introduction 1
Security
•
CareLink Pro can be password protected.
•
Transmission of patient data from CareLink Personal is encrypted using industry-standard
Secure Sockets Layer (SSL) technology.
Related documents
Each of these Medtronic MiniMed documents has device-specific information that is not covered
in detail in this user guide.
NOTE: For device-specific information on meters, see the instructions the manufacturer
included with the meter.
•
Paradigm Insulin Pump User Guide
•
Guardian REAL-Time Monitor User Guide
•
Sensor Features User Guide
•
ComLink User Guide
•
CareLink USB User Guide
Assistance
If you need further help with this system, contact your local country representative. Access the
following web site for international contact information:
http://www.minimed.com/contact/international-locations
Supported devices
CareLink Pro gets data from the following devices.
NOTE: Some devices supported by this software may not be available in all countries where
this software is approved for use.
Insulin pumps/Glucose monitors
Medtronic MiniMed pumps:
508
Medtronic MiniMed Paradigm® series pumps:
511, 512, 712, 515, 715, 522, 722, 522K, 722K,
Paradigm® Veo™ (554, 754)
Guardian REAL-Time monitors:
CSS-7100
CSS-7100K
Introduction 2
Manufacturer
Linked meters:
Bayer:
LifeScan:
BD:
Bayer's Ascensia™ DEX™ family, including these
compatible meters:
Bayer's Ascensia™ ELITE™ family, including these
compatible meters:
Abbott:
Roche:
Blood glucose meters
•
Bayer's CONTOUR® LINK
•
BD Paradigm Link® Blood Glucose Monitor
•
CONTOUR® USB
•
Ascensia BREEZE®
•
BREEZE® 2
•
CONTOUR®
•
OneTouch® UltraSmart®
•
OneTouch® Profile®
•
OneTouch® Ultra®
•
OneTouch® Basic®
•
OneTouch® FastTake®
•
OneTouch® SureStep®
•
OneTouch® Ultra® 2
•
OneTouch® UltraMini®
•
OneTouch® UltraEasy®
•
Logic®
•
Ascensia™ DEX™
•
Ascensia™ DEX™ 2
•
Ascensia™ DEXTER-Z® II
•
Glucometer™ DEXTER-Z®
•
Ascensia™ ESPRIT® 2
•
Glucometer™ ESPRIT®
•
Glucometer™ ESPRIT® 2
•
Ascensia™ ELITE™
•
Glucometer™ ELITE™ XL
•
FreeStyle®
•
FreeStyle® Lite®
•
FreeStyle® Freedom®
•
FreeStyle® Freedom Lite®
•
Precision Xtra®
•
TheraSense FreeStyle®
•
FreeStyle® Flash®
•
FreeStyle® Papillon™ mini
•
FreeStyle® Mini®
•
Optium Xceed™
•
Precision Xceed™
•
Accu-Chek® Aviva
•
Accu-Chek® CompactPlus
•
Accu-Chek® Compact
•
Accu-Chek® Active
Introduction 3
Communication devices
CareLink® USB
For use with the MiniMed Paradigm-series insulin
pump and Guardian REAL-Time Monitor.
Paradigm Link® Blood Glucose Monitor
For use with a MiniMed Paradigm Pump or Guardian
REAL-Time Monitor. (See the Paradigm Link® Blood
Glucose Monitor User Guide for details about the
required hardware.)
ComLink
For use with the MiniMed Paradigm Pump and
Guardian REAL-Time Monitor. (See the ComLink User
Guide for details about the required hardware.)
Com-Station
For use with the Medtronic MiniMed 508 Pump. (See
the Com-Station User Guide for details about the
required hardware.)
For use with third-party blood glucose meters. Each
meter manufacturer supplies a data communications
cable.
Data communications cable
Note: If a meter manufacturer provides a USB cable
instead of a serial cable for uploading data, you must
install the software driver provided by that
manufacturer.
Also, check with the meter manufacturer to ensure
that the USB driver is compatible with your operating
system. Some USB drivers may not be available for 64bit operating systems.
Equivalent devices
When you add a device to the system, you select its make and model from a list. If a device
make and model is not on the list, refer to the following table to find an equivalent one to
use.
If your patient uses one of these devices
•
Bayer's Ascensia™ DEX™ 2
•
Bayer's Ascensia™ DEXTER-Z™ II
•
Bayer's Glucometer™ DEXTER-Z™
•
Bayer's Ascensia™ ESPRIT® 2
•
Bayer;s Glucometer™ ESPRIT®
•
Bayer's Glucometer™ ESPRIT® 2
Select this device
Bayer's Ascensia™ DEX™
Bayer's Glucometer™ ELITE™ XL
Bayer's Ascensia™ ELITE™
Precision Xceed™
Optium Xceed™
Ordering
To order Medtronic Diabetes products, contact your local country representative. Access the
following URL for international contact information:
http://www.medtronicdiabetes.com/help/contact/locations.html
NOTE: Meters can be ordered from their respective companies.
Introduction 4
How to use this guide
NOTE: This user guide shows samples of the software screens. The screens of the actual
software may be slightly different.
Refer to the Glossary for definitions of terms and functions. The conventions used in this guide
are defined in the following table.
Term/style
Meaning
Click
Press the left mouse button over an object on the
screen to select it.
Double-click
Press the left mouse button twice over an object on
the screen to open it.
Right-click
Press the right mouse button over an object on the
screen to display another window or menu.
Bold text
Used for a button, screen name, field name, or menu
option. For example: Patient > New Patient
NOTE:
Provides additional information for a procedure or
step.
CAUTION:
Alerts you of a potential hazard which, if not avoided,
may result in minor or moderate damage to the
software program or equipment.
WARNING:
Notifies you of a potential hazard which, if not
avoided, could result in death or a serious injury. It
may also describe potential serious adverse reactions
and safety hazards.
User safety
Indications for use
The CareLink Pro system is intended for use as a tool to help manage diabetes. The purpose of
this system is to take information transmitted from insulin pumps, glucose meters, and
continuous glucose monitoring systems, and turn it into CareLink Pro reports. The reports provide
information that can be used to identify trends and track daily activities—such as carbohydrates
consumed, meal times, insulin delivery, and glucose readings.
Warnings
•
This system is intended to be used by a healthcare professional familiar with the
management of diabetes.
•
System results are not intended to produce medical advice and should not be relied upon for
such purpose.
•
This product should only be used with the supported devices listed in this document. (See
Supported devices on page 2.)
•
Patients should be advised to monitor their blood glucose levels at least 4–6 times a day.
•
Patients should be advised not to make any changes to their treatment without consulting
their healthcare professional.
Introduction 5
•
Patients should be advised to make treatment decisions based on healthcare professional
guidelines and meter BG results, not glucose sensor results.
Contraindications
This software should not be used with devices that are not listed in Supported devices on page 2.
Nor should this product be used for the treatment of medical conditions other than diabetes.
Before opening this software, close any of the following software that is currently running on
your computer:
•
CGMS® System Solutions™ Software (7310)
•
Solutions® Pumps & Meters Software (7311)
•
Guardian® Solutions® Software (7315)
•
ParadigmPAL™ (7330)
•
CareLink® Personal software (7333)
•
Solutions® Software for CGMS®iPro (7319)
Introduction 6
2
Getting started
The following information will guide you through starting the CareLink Pro software, opening and
closing patient records, and setting preferences that apply to all patients in the system.
Before you begin
If this is the first time you are using CareLink Pro, you should be sure to set the General
preferences (see General preferences on page 11). These preferences determine how certain
items display in the software and in reports, and how you want the system to communicate with
the Internet.
Preferences can be set at any time. You may want to wait until you are familiar with the CareLink
Pro software to set the other preferences.
Primary system tasks
The following table outlines the main tasks you will want to perform when first setting up and
using CareLink Pro. It also tells you which part of this user guide discusses each task.
Step
Location
Familiarize yourself with the CareLink Pro user
interface.
Navigating the system on page 8
Define the global system options your clinic will use.
Setting system preferences on page 11
Create profiles for each of your patients.
Adding new profiles on page 19
Link to your patients' CareLink Personal accounts.
Linking to CareLink Personal on page 20
Add your patient's pump and meters to his or her
profile.
Adding a device on page 27
Read data from your patient's pump and meters.
Reading device data on page 32
Set up and generate reports for each of your patients.
Creating reports on page 36
Regularly back up the CareLink Pro database.
Backing up the database on page 46
Update the CareLink Pro software.
Applying software updates on page 45
Getting started 7
Navigating the system
Before working with the CareLink Pro software, you should get acquainted with the user
interface. The user interface includes menus, a toolbar, a navigation bar, workspaces, and a Guide
Me window.
Opening CareLink Pro
1
Double-click the CareLink Pro icon
on your computer desktop, or select Medtronic
CareLink Pro from the Programs list on your Windows Start menu.
If your clinic requires you to enter a password, the login screen is displayed.
a. Type your password into the Password field.
NOTE: Requiring a password is an optional feature that is set during the installation
process.
b. Click LOGIN.
The startup screen is displayed.
2
To start a new patient record, click New Patient. To open a patient record from a list of
patients in the system, click Open Patient.
Workspaces
If you have a patient’s record open, you can click one of the buttons on the navigation bar to
display the corresponding workspace. Use these workspaces to enter or select information to
perform CareLink Pro tasks for that patient.
Profile: Allows you to maintain such patient
information stored as name and date of birth. This
workspace also allows you to link to a patient’s
CareLink Personal account.
Devices: Allows you to store information required to
read a patient’s devices.
Reports: Allows you to select parameters and choose
reports to be generated for the patient.
Until a profile is added and saved for a patient, only the Profile workspace is accessible for that
patient. Until devices are added for a patient, only the Profile and Devices workspaces are
accessible for that patient.
Toolbar
The CareLink Pro toolbar provides quick access to frequently used features. The toolbar contains
the following buttons.
Getting started 8
Button
Name
Functionality
Add Patient
Opens a Profile workspace so you
can add a new patient record to
the system.
Open Patient
Opens the Patient Lookup table
where you can choose an existing
patient’s record to view.
Guide Me
Displays or hides the Guide Me
window. Click for context-aware
system hints.
Patient tabs
After you open a patient record, a tab is displayed along the toolbar with the patient’s name on it.
When a tab is active, it means that patient record and workspace are active, and you can perform
CareLink Pro tasks for the patient.
To make a patient record active so that you can work with it, click on the tab for that patient. To
close a patient record, click the Close button
on the tab.
The Guide Me feature
A Guide Me feature is provided throughout CareLink Pro. It opens a window with context-aware
hints and tips for actions you might take from the part of system that is active. Guide Me windows
might also include >>learn more links. When clicked, these links take you to the relevant section
in the online help for more details. The Guide Me feature is enabled by default. However, you can
turn it off at any time.
Turning Guide Me on and off
To turn Guide Me on or off, do one of the following:
•
Click the Guide Me button.
Getting started 9
•
Select Help > Guide Me.
Opening patient records
As many as six patient records can be open at one time. If you have not yet created any
patient profiles, see Adding new profiles on page 19.
1
Select File > Open Patient, or click the Open Patient button.
A patient list similar to the
following is displayed.
NOTE: If you receive a message that you have too many patient records open, click OK,
close a record, and continue.
2
Locate the patient’s listing by typing some or all of his or her name in the Find a Patient
field. When the patient’s listing is highlighted, click OPEN, double-click the listing, or press
ENTER. You can also navigate the list by using the up and down arrows on your keyboard.
The patient’s Devices (if devices have not yet been added) or Reports workspace is
displayed.
3
To see the patient’s Profile workspace, click the Profile button
on the navigation
bar.
Closing patient records
1
Make sure the patient record you want to close is active (the tab is highlighted).
2
Do one of the following:
a. Select File > Close Patient.
b. Click the Close button
on the patient tab.
c. Press Ctrl+F4.
Getting started 10
Setting system preferences
These preferences apply to all patients in the system. For preferences that affect only individual
patients, see Verifying report settings on page 39.
Preferences are displayed in the following groups:
•
•
General
-
Glucose units
-
Carbohydrate units
-
Communications
-
Troubleshooting
Patient Profile
-
•
Select and arrange data fields on patient profiles.
Patient Lookup
-
Modify and change the order of fields displayed when you choose Open Patient to view
a list of patients.
•
Report Generation
-
Choose the data fields you want to display when selecting Daily Detail report input from
the Data table.
General preferences
Use the General tab to define how the software displays certain types of information and to
establish your external communication preferences.
1
If it is not active already, click the General tab.
2
Select Tools > Options. The following window is displayed.
3
Click to select the option button for the value you want:
Getting started 11
-
Glucose Units: mmol/L or mg/dL
-
Carbohydrate Units: grams or Exchanges
a. If you selected Exchanges for Carbohydrate Units, type the appropriate number in the
grams are equal to 1 Exchange field.
4
Click to select or clear the check box in the Chart Options > Overview Report section. If the
check box is selected, the application will connect the BG readings on the Meter Glucose
Overlay chart with lines. (This is a chart that appears in the Sensor and Meter Overview
Report.)
5
For the following Communications preferences, click to select the check box (enable) or to
clear the check box (disable):
NOTE: Make sure you follow the guidelines of your clinic or IT department when setting
communication preferences.
-
Automatically check for software updates: If selected, a notification will be sent to
each system running CareLink Pro whenever a software update is available. The active
user will then have the opportunity to download and install the updates. To prevent this
from occurring and institute a controlled distribution of software updates, you can clear
this check box.
-
Synchronize with Medtronic CareLink® Personal: If you want the system to
automatically synchronize your patients' CareLink Personal data each time you open
their profile, select this check box. If you clear this check box, you will have to manually
synchronize the CareLink Personal data for each patient.
6
Click to select or clear the check box in the Troubleshooting section. If the check box is
selected, the application will save a record of device reads for troubleshooting purposes.
7
Click OK to save the General preferences.
Patient profile preferences
This is a global setting that defines the content of your profiles. You can customize fields in the
Profiles workspace to include information that is most important to your clinic. You can add or
remove fields, create your own custom fields, and determine the order in which the fields will
appear in the window.
1
Select Tools > Options.
Getting started 12
2
Click the Patient Profile tab. The following window is displayed.
NOTE: Use the check boxes to choose the fields you want on the profile. Use the up and
down arrows to put the fields in order.
Choosing data fields
1
Use the check boxes to add the fields you want.
NOTE: First and Last Name cannot be removed.
2
To remove a field from the profile, clear its check box.
3
To make a field required, select the check box in the Required column. Any field that is
required must be filled in before a profile can be created.
Adding a custom field
1
Select the check box to the left of an empty custom field.
2
Enter text to name the field (for example, Emergency Contact). This is the field name that will
display on the patient profile.
3
To make the field required, select the check box in the Required column.
NOTE: To remove a custom field from the profile, clear the check box next to the field(s)
you want to remove.
Changing the order of data fields
Select the field you want to move, and click the up or down arrow
to move it. (The arrows at
the top and bottom move a field all the way to the top or bottom of the list.)
Getting started 13
Finalizing patient profile preferences
When the Field Order list has all the fields you want in the correct order, click OK.
Patient profiles now have the fields and field order you just selected.
Patient Lookup preferences
The Patient Lookup table is used to search for and open a patient record. The table includes
every patient in your database and provides identifying information from the patient's profile.
You have the option of customizing what information is displayed in this table and the order
in which the columns appear. To customize the Patient Lookup table, complete the following
steps:
1
2
Click the Patient Lookup tab. The following window is displayed.
NOTE: Use the check boxes to choose the data you want on the Patient Lookup table.
Use the up and down arrows to put the columns in order.
Use the check boxes to select the type of data you want to display or to clear data you do not
want to display on the Patient Lookup table.
To change the order of columns on the Patient Lookup table, select the column to move, and
click the up or down arrows.
(The arrows at the top and bottom move a data column all the
way to the top or bottom of the list.)
Getting started 14
The data column at the top of the Column Display Order list will display in the first column of the
Patient Lookup table. The data column at the bottom will be displayed in the last column of the
table.
Finalizing patient lookup preferences
When the Column Display Order list has all the data you want in the correct order, click OK.
The Patient Lookup table will now have the data and column order you just selected.
Report Generation preferences
The Data Table appears in the Select and Generate Reports window. This table is used during
reporting. It contains daily information derived from your patient’s devices and, if applicable,
his or her CareLink Personal software account. The data provided in this table helps you
determine which days require a Daily Detail report. It also helps you decide which of the other
reports you should run.
Your clinic can customize the data that displays in this table, including the order in which it's
presented, to reflect what is most relevant to your practice.
NOTE: To see how these preferences apply to the Data Table during report creation, see
Selecting report types and inclusion dates on page 40.
1
2
Click the Report Generation tab. The following window is displayed.
Use the check boxes to select the type of data you want to display or clear data you do not want
to display on the Data Table.
Getting started 15
The following information is available for inclusion in the Data Table.
Column Name
Definition
№ of Meter Readings
The amount of readings for the specified date that
were recorded by the included devices.
Meter Readings Average
The average of the glucose readings recorded by the
included devices.
Sensor Duration
The amount of time within the specified date for
which sensor date was recorded. Values are -- (none),
0:05 - 24:00.
Sensor Average
The average of sensor readings recorded in the
specified date.
Highest Reading
The highest glucose reading (derived from a sensor or
meter) for the date.
Lowest Reading
The lowest glucose reading (derived from a sensor or
meter) for the date.
Avg AUC Below Target
Avg Area Under the Curve below the patient's target
range.
Avg AUC Above Target
Avg Area Under the Curve above the patient's target
range.
Total Carbs
The sum of all carbohydrate amounts (rounded to the
nearest gram or the nearest 0.1 exchange, depending
on the unit of measure used) reported during the day
through Bolus Wizard events or carbohydrate markers
on the pump or Guardian monitor.
Suspend Duration
The amount of time the pump was suspended on the
specified date. Values are -- (no data), 0:01 - 24:00.
№ of Rewinds
The number of rewind events for the specified date.
№ of Primes (or Fills)
The number of prime events (or fill events) recorded
for the specified date.
Prime (or Fill) Volume (U)
The total volume of insulin used for prime events (or
fill events) on the specified date.
Total Insulin (U)
The total volume of insulin given during the specified
date, as recorded by the pump.
Total Basal (U)
The total volume of basal insulin given during the
specified date (the total insulin given, less the sum of
all boluses given).
Total Bolus (U)
The total volume of insulin given in boluses during
the specified date, as recorded by the pump.
Basal %
Shows the ratio (in whole % values) of basal insulin to
total insulin.
Bolus %
Shows the ratio (in whole % values) of bolus insulin to
total insulin.
№ of Boluses
The number of bolus events recorded for the specified
date.
Bolus Wizard Events
The total number of bolus wizard events recorded on
the specified date.
Bolus Wizard Overrides
The number of bolus wizard events where the amount
of insulin delivered is different than the amount
recommended.
№ of Meal Boluses
The number of bolus wizard events with carbohydrate
amounts greater than zero that were recorded on the
specified date.
Getting started 16
Column Name
Definition
№ of Correction Boluses
The number of bolus wizard events with correction
amounts greater than zero that were recorded on the
specified date.
№ of Manual Boluses
The number of bolus events recorded during the date,
which were not bolus wizard events.
To change the order of columns on the Data Table, select the column to move, and click the up or
down arrow.
(The top and bottom arrows move a data column all the way to the top or
bottom of the list.)
NOTE: Items at the top of the Column Order list will display in the first column of the Data
Table. Items at the bottom will display in the last column of the Data Table.
Finalizing report generation preferences
When the Column Order list has all the data you want in the correct order, click OK.
The Data Table will now have the data and column order you just selected.
Getting started 17
3
Profile workspace
A profile is similar to the cover page of a medical chart. It stores patient data such as name and
date of birth. A profile is required before device data can be gathered and used for therapy
reports.
The Profile workspace also allows you set up a link to a patient’s CareLink Personal account. Once
the link is established, you can retrieve patient data stored on CareLink Personal anytime—
without the need to have the patient present.
Before you begin
You may want to customize your patient profiles so they contain only the type of information you
want to collect. To learn more, see Patient profile preferences on page 12.
Also, a username and password is required when you set up the link to a patient’s CareLink
Personal account. The patient must be present to supply this data.
Profile workspace 18
Adding new profiles
Each time you add a patient to the CareLink Pro system, you must start by filling out a profile for
him or her.
1
Select File > New Patient, or click the Add Patient button.
The Profile workspace is displayed.
NOTE: To add or change fields on the patient profile, click customize fields. See Patient
profile preferences on page 12.
2
Fill in the fields in the Patient Profile section.
3
Click SAVE.
The new patient profile is added to the CareLink Pro database. A message is displayed that
confirms the profile was saved.
Completing required fields
1
If a required field is not complete when you save a patient profile, a message is displayed
next to that field. You will not be allowed to save the profile until you make an entry in the
field.
2
Complete the field.
3
Click SAVE.
4
When the confirmation message displays, click OK.
Editing patient profiles
1
Make sure the patient’s Profile workspace is open.
2
Click EDIT.
3
Edit the data in the Patient Profile section as needed.
4
Click SAVE.
A message is displayed that confirms the profile was saved.
Deleting patient data from the system
1
Make sure the patient’s Profile workspace is open.
2
Verify that this is the patient you want to delete. Deleting a patient profile also removes all of
his or her data from the CareLink Pro database and cannot be undone.
3
Click >> delete patient record above the synchronization section of the profile.
A message is displayed to alert you that all of the patient’s data will be erased when you
delete the record.
4
Click Yes to delete the patient’s record.
Linking to CareLink Personal
If your patient permits it, you can set up a link to his or her CareLink Personal account. This
Web-based tool allows patients to upload and store device-derived data and to run various
therapy reports.
After you link to the patient’s CareLink Personal account, you can retrieve the device data stored
there. This is ideal for creating CareLink Pro therapy reports between office visits. It also reduces
the need to read the patient’s device in the office.
If patients do not yet have a CareLink Personal account, you can send them an e-mail inviting
them to establish one.
Linking to an existing account
NOTE: The patient must be present to complete these steps.
1
Make sure you are connected to the Internet.
2
Open the patient’s Profile workspace.
3
Make sure all required fields in the Patient Profile section are filled in.
4
Click LINK TO EXISTING ACCOUNT.
The CareLink Personal Log In screen is displayed.
5
Have the patient do the following:
a. Type in his or her Username and Password.
b. Click Sign In.
A Grant Access page is displayed, based on the patient’s enrollment settings for language
and region.
6
Have the patient do the following:
a. Read the Terms of Use.
b. Click to check the box next to I agree to the Terms of Use above...
c. Click Grant Access.
d. Let you know when the Thank You page is displayed.
7
If needed, print the Terms of Use for the patient by clicking the Print button. You are now
linked to the patient's CareLink Personal account.
Sending an e-mail invitation
To send an e-mail inviting a patient to establish a CareLink Personal account, follow these
steps:
1
Open the patient’s Profile workspace.
2
Make sure all required fields in the Patient Profile section are filled in.
3
Click SEND E-MAIL INVITATION TO PATIENT.
4
Make sure Patient Name, E-mail Address, and Language are filled in correctly.
5
Click SEND.
The patient’s profile status area confirms the e-mail was sent.
Getting data from a linked account
If you are linked to a patient’s CareLink Personal account, any new data from this account is
automatically sent each time you open his or her patient profile in CareLink Pro.
NOTE: To ensure this happens, go to Tools > Options > General, and make sure there is a
check next to “Synchronize with CareLink Personal.”
Follow these steps to get a patient’s CareLink Personal data any time after you have opened
his or her patient profile:
1
Make sure the patient’s Profile workspace is open, and that you are connected to the
Internet.
2
Select Tools > Synchronize Patient Data.
The sync icon
on the patient’s tab rotates. When the icon stops, the process is
complete.
NOTE: If the patient no longer wants to share his or her CareLink Personal data, a
message displays to let you know.
3
Any additional data retrieved from CareLink Personal will show up in the patient’s reports.
Unlinking a patient’s CareLink Personal account from CareLink Pro
You can unlink a patient’s CareLink Personal account from CareLink Pro. This option is only
available after a patient has been linked. It prevents CareLink Pro from continuing to retrieve
data from the patient's CareLink Personal account. It does not affect the patient's personal
usage of his or her CareLink Personal account.
1
Open the patient's record and access the Profile workspace.
2
Click UNLINK ACCOUNT.
3
Click Yes at the confirmation message. The patient's personal profile is no longer linked to
CareLink Pro.
The status is changed to Not linked, and the LINK TO EXISTING ACCOUNT and SEND EMAIL INVITATION TO PATIENT buttons are now displayed.
4
Hardware setup
To read data directly from a device, you must have the patient's device and any cables or
communications devices required to transfer the data to your computer.
Alternatively, if patients have uploaded their device data to their CareLink Personal account, you
can obtain the data by linking to their account. To link to a patient's CareLink Personal account,
see Linking to CareLink Personal on page 20.
Connecting devices
Review the overview diagram to get a general idea of how devices should be set up to
communicate with the computer. The diagrams that follow illustrate specific aspects of device
communication.
For more details, follow the instructions CareLink Pro displays as you are reading devices.
Hardware setup
23
Overview of hardware setup
The following example shows the CareLink USB being used to communicate between the pump
and the computer. For a list of supported communication devices, see Supported devices on
page 2.
Serial and USB cable connection examples:
Hardware setup
24
Optional ComLink for use with the Paradigm series pump:
Optional Com-Station for use with the Medtronic MiniMed 508 pump:
Hardware setup
25
5
Devices workspace
Information that you will need to read a patient’s device, such as the manufacturer, model, and
serial number, is stored in the Devices workspace. Thus, you do not have to supply it each time
you read data from the device.
Devices on the Devices workspace are stored in one of two lists—Active Devices or Inactive
Devices. When you add a device, it is automatically placed on the Active Devices list. You can only
read data from devices displayed in the Active Devices list. These will likely be the devices your
patient currently uses.
Other devices that belong to the patient, but are not currently used, can be stored in the Inactive
Devices list. This keeps the information on file. These devices can be made active at any time.
Before you begin
Before you can open the Devices workspace for a patient, he or she must have a profile saved in
the system. See Adding new profiles on page 19.
Devices workspace 26
To add a device or read data directly from it, the device must be communicating with the
computer. See Connecting devices on page 23 to learn how to set up devices to communicate with
the computer.
Adding a device
You can get data from the patient’s CareLink Personal account for a device not yet added. Such
devices will automatically be added when data is synchronized between CareLink Personal and
CareLink Pro.
NOTE: There can only be one active pump per patient. Adding a new pump will move the
existing one to the inactive list.
Adding a Medtronic pump or Guardian monitor
1
Make sure the device you are adding is set up to communicate with the computer. (See
Connecting devices on page 23 for connection steps.)
2
Click the patient’s tab or double-click his or her name on the Patient Lookup table.
3
Click Devices
4
Click ADD DEVICE.
5
Select Medtronic Pump/Guardian. The Add Medtronic Pump/Guardian Wizard is
to access the patient’s Devices workspace.
displayed.
NOTE: The pump model is listed on the back of the pump or on the pump status screen.
6
Select the option button to specify the device you are adding.
If you selected the MiniMed 508 pump option, go to Step 9.
7
Click NEXT. The Serial Number page is displayed.
NOTE: An error message is displayed if you do not enter the correct serial number.
Check the examples on this page, and verify that you are entering the correct
characters from the back of the pump. If necessary, retype the six characters.
8
Use the examples on this page to help locate the six-character serial number on the device
you are adding. (If you need more help in locating it, click >>learn more.) Type the six
characters in the Device Serial Number field.
9
Click NEXT. A Communication Options page similar to the following is displayed.
10 Click the Choose Port drop-down menu, and select the port that the ComLink, Paradigm
Link®, CareLink USB, or Com-Station connects to on your computer. If you are not sure which
port to choose, select Auto Detect (or USB).
11 Click NEXT. The Test Connection page similar to the following is displayed.
12 Follow any device instructions, and click TEST.
A message displays to let you know if the connection was successful. If it was, go to the next
step.
NOTE: This Test does not read pump data, but verifies correct communications between
the pump and the computer.
If not, make sure the hardware between the device and the computer is connected properly.
Also, click BACK on the pages of the wizard to make sure the device data you have entered is
correct.
13 Click DONE.
The device is added to the patient’s Active Devices list.
Adding a meter
1
2
Make sure the meter you are adding is in communication with the computer. (See Connecting
devices on page 23 for connection steps.)
3
Click the Devices button to access the patient’s Devices workspace.
4
Click the ADD DEVICE button.
5
Select Blood Glucose Meter. The Add Blood Glucose Meter Wizard is displayed.
6
Click the option button to select the correct brand of meter.
7
Click NEXT. The Meter Model page is displayed (this page differs depending on the meter
manufacturer).
8
Click to select the meter model you are adding.
9
Click NEXT. The Communication Options page is displayed.
NOTE: Only those choices that are valid for the meter you are adding are available for
selection.
10 Click the Choose Port drop-down menu, and select the port that the ComLink, Paradigm
Link, or CareLink USB connects to on your computer. If you are not sure which port to choose,
select Auto Detect (or USB).
11 Click NEXT. The Test Connection page is displayed.
12 Follow the instructions given for the meter, and click TEST.
If you are adding Bayer's CONTOUR® USB meter, make sure that Bayer's GLUCOFACTS®
software is closed. Check the Windows system tray, shown here. If you see the GLUCOFACTS
icon, right-click the icon and select Exit.
A message displays to let you know if the connection was successful. If it was, go to the next
step.
If not, make sure the hardware between the device and the computer is connected properly.
Also, click BACK on the wizard to make sure the data you have entered is correct.
13 Click DONE.
The meter is added to the patient’s Active Devices list.
Making a device active or inactive
Patient devices can be moved between the Active Devices list and the Inactive Devices list as
needed. A device must be active in order to read data from it.
You can have as many meters as you want on the Active Devices list, but only one pump. Make
sure you want to inactivate the current active pump before you add a new one.
Inactivating a device
1
2
Click the Devices button to access the patient’s Devices workspace. Devices may be listed
under an equivalent device name. See Supported devices on page 2.
3
Click >> make this device inactive under the device you want to make inactive. The device
moves to the Inactive Devices list.
Re-activating a device
1
2
Click the Devices button. The patient’s Devices workspace is displayed.
Devices may be listed under an equivalent device name. See Supported devices on page 2.
3
Click >> activate this device under the device you want to make active.
The device moves to the Active Devices list.
Deleting a device
These steps will delete a device and its data from the Devices workspace and the CareLink Pro
system:
1
2
3
Make sure the device is on the Inactive Devices list. If it is not, click >> Inactivate this
device under its current listing.
4
Click >> delete this device under the device you want to delete. A message is displayed to
alert you that the device and all of its data will be removed from the patient’s record.
5
Click YES to delete the device.
The device and its data is removed from the Devices workspace and from the CareLink Pro
system. Data from this device is no longer available for use in reports.
Reading device data
One way to get device data is to link to the patient’s existing CareLink Personal account. (See
Linking to CareLink Personal on page 20.) Another way is to read it directly from his or her device,
as described here.
Data from your patient’s device can be read by CareLink Pro if the device is on the Active Devices
list and it is in communication with the computer. After you get this data, you can use it to create
reports that help assess the patient’s therapy management. See About reports on page 41 for a
brief description of the available reports.
CareLink Pro can gather the following data from an insulin pump:
•
Various settings on the pump, such as the alert mode, the beep volume, and the time
•
Basal insulin amounts delivered
•
Bolus events and amounts delivered
•
Bolus Wizard entries
•
Priming amounts
•
Suspend periods
•
Sensor glucose readings over a period of time, on pumps with sensor capabilities
The system can also gather data from a Guardian REAL-Time system including:
•
Sensor glucose (SG) readings
•
Sensor coefficient values
•
Sensor calibration factors
•
Meal markers
•
Insulin injections
Additionally, various information stored in a blood glucose meter can be uploaded to the system
during a device read.
WARNING: Please cancel or finish any temp basals or active boluses, and clear any active
alarms. The pump will be suspended for reading. Once the read is complete, please verify
the pump has resumed.
CAUTION: Do not use the pump remote when the pump is being read. If the pump battery is
low, the pump will not send data to the PC. Replace the battery if the status indicates
battery power is low.
1
2
Make sure the patient’s device is in communication with the computer. (See Connecting
devices on page 23.)
3
4
Find the device you want to get data from on the Active Devices list, and make sure the
Choose port data is correct.
For pumps, click the Amount of Data drop-down menu and select how much pump data
you want CareLink Pro to read.
5
Click the associated READ DEVICE button.
6
Follow device-specific instructions, and click OK.
7
CareLink Pro displays a progress bar that updates to show how much of the device read has
been completed.
If you click CANCEL as the device is being read, a message is displayed to alert you that
cancelling the action may result in the loss of all of the data read so far. You will need to click
the READ DEVICE button to restart the upload.
-
To cancel, click YES.
-
To continue reading device data, click NO.
When the system finishes reading data from the device, you will see a message that confirms
the device read is complete.
8
Click OK.
-
For pumps, follow the instructions for taking them out of suspend mode.
If CareLink Pro is unable to get data from the device, see Troubleshooting for further
guidance.
6
Reports workspace
CareLink Pro software provides a variety of reports to help you better manage your patients'
diabetes treatment. The information contained in each report is based on data you obtain from a
patient's devices and his or her CareLink Personal software account.
Reports can be generated on screen, sent directly to a printer, or saved as TIFF or PDF files that
you can attach to an Electronic Medical Record (EMR). You can generate several report types
through a single operation.
The data displayed through these reports is captured from the patient’s devices, from his or her
CareLink Personal account, or from both.
NOTE: More details about the report components, as well as sample reports are contained
in the Report Reference Guide. You can access the Report Reference Guide through the
CareLink Pro software by going to Help > View Report Reference Guide (PDF) and selecting
the appropriate language.
Before you begin
If you have a period of time you want reflected in a report, you must have a patient’s device data
for that time period. You may also need to have the patient’s device connected to the computer
to get current data before running reports.
Reports workspace 35
Be sure to take a close look at the Verify Report Settings step before running a report. This is
where you can fine-tune a report to capture the patient data you want.
Creating reports
The following sections will help you better understand the reports that are available to you and
the process you use to generate them.
If you are familiar with the reporting process and know what reports you would like to run, you
can begin generating reports.
Opening the Reports workspace
Click the patient’s tab or click the Open Patient button
and double-click the patient’s
name.
The Reports workspace is displayed.
NOTE: To make sure you have the latest device data from the patient’s CareLink Personal
account, click SYNC DATA.
Selecting the reporting period
1
To change how much time is reflected in the report(s), click the Duration drop-down menu
and select the amount of time. (The maximum duration is 12 weeks.)
2
From and through dates are automatically set, unless you choose the custom date range
option.
NOTE: If you select a date range longer than allowed, you get an error message. Adjust
the duration or dates.
If you want a custom date range, click the From or Through drop-down menus and select
the desired month, date, or year.
Data calendar
The data calendar area of the Reports workspace shows a three-month window of reporting
information.
The blue bars represent device data. The orange bar represents the reporting period that you
selected. Overlap in the device data and reporting period means you have data for some or all of
the displayed reporting period.
The data calendar area initially displays the most current three months. To see other months, click
the arrow buttons
on either end of the months.
Selecting source data to include
1
If the patient uses a BG meter that links to his or her pump, click to choose one of the
following options for reporting meter BG data:
-
In the pump: Advantages of this selection include that you only have to read data from
the patient’s pump, BG readings are time stamped by the pump, and the readings are
tied directly to any Bolus Wizard calculations used. A disadvantage is that if there are
communication difficulties between the pump and the linked meter, BG readings during
that time may not get reported. Also, for MiniMed Paradigm pumps prior to the 522/722,
any BG readings from Bolus Wizard calculations that are not acted on do not get
reported.
-
In the link meter(s): The advantage of this selection is that all readings stored in the linked
meter are reported. The disadvantage is that to correlate meter and pump data, you
must have made sure that the pump and meter clocks were synchronized with one
another. You must also read data from the pump and the linked meter separately.
2
To add device data to reports, select the check box next to the relevant device.
You cannot add devices that were excluded due to your selection in step 1. To change this,
select the other linked meter option.
3
To exclude device data from reports, clear the check box next to the relevant device.
You cannot clear check marks related to the option you selected in step 1. To change these,
select the other linked meter option.
Checking for device data
1
Look at the data calendar in the Reports workspace to see if the orange bar representing the
reporting period overlaps with the blue bars representing device data.
2
If the bars overlap for the entire reporting period, you have data for your report(s). You can
click NEXT and go to Verifying report settings on page 39.
3
If the bars do not overlap or there is not enough overlap, you have a few choices:
-
Adjust the reporting period.
-
Get additional device data.
Getting additional device data
1
To get more data from a device, click the READ DEVICE button associated with the
device.
The Read Device bar is displayed.
WARNING: Please cancel or finish any temp basals or active boluses, and clear any
active alarms. The pump will be suspended for reading. Once the read is complete,
please verify the pump has resumed.
CAUTION: Do not use the pump remote when the pump is being read. If the pump
battery is low, the pump will not send data to the PC. Replace the battery if the device
status screen indicates battery power is low.
2
Verify that the data in the Choose port field is correct for this device.
To change this setting, click the drop-down menu for the field and select a different
setting.
3
Make sure the device is connected to your computer.
4
If the device is a pump, you can specify how much data to get from it. Click the Amount of
Data drop-down menu and select an amount.
NOTE: If you select All available data, the system reads all data in the pump. This
overwrites any existing duplicate data in the system.
5
Click READ DEVICE. Be sure to read the message that is displayed carefully because it
provides specific instructions for reading the pump.
6
Follow the instructions and click OK.
The read device progress bar is displayed.
You can choose to cancel the read at any time by clicking CANCEL.
A message is displayed to confirm that the read is complete.
7
Click OK.
Device data is now visible within the data calendar.
8
Click NEXT at the top of the Reports workspace.
The Verify Report Settings step is displayed. This allows you to make sure the settings for this
patient are correct before you run the report(s).
Verifying report settings
1
Make sure the Glucose Target settings are at the desired values. Type in these values, or click
the up or down arrows in the Low and High fields to raise or lower the values.
NOTE: Meter reading markers (|| |) are displayed on the wake-up and bedtime timeline,
as well as on the meal markers timeline. Because some of the reports are based on data
found within defined meal times, wake-up, or bedtime hours, it is important that a
patient's Bolus Wizard event and meter reading markers are grouped appropriately.
2
To add a new meal period, click ADD MEAL. To edit an existing meal period, click anywhere
within one of the meal periods along the timeline.
The Meal Period editor, located below the timeline, becomes active.
NOTE: You can have as many as five meal periods. The defaults are breakfast, lunch,
and dinner.
3
Enter text or click arrows to select the settings you want.
If you only want to use these settings for this meal, clear the check box Use these
parameters for all of this patient's meals.
-
Meal Name: name you want to assign to the meal period.
-
Meal Time Period: hours between which the meal occurs.
-
Pre-Meal BG Target (mmol/L or mg/dL): low and high ends of the patient’s beforemeal glucose target range.
-
Pre-Meal Analysis Period: time period that glucose will be analyzed prior to the start of
a meal. The glucose readings captured during this time are used in a detailed report
analysis.
-
Post-Meal BG Target (mmol/L or mg/dL): low and high ends of the patient’s post-meal
glucose target range.
-
Post-Meal Analysis Period: time period that glucose will be analyzed after a meal. The
glucose readings captured during this time are used in a detailed report analysis.
You can change the length of an existing meal period or the wake-up and bedtime
period by clicking on the start or end handles and dragging and dropping them along
the timeline.
NOTE: Meal periods cannot overlap, but start and end lines can border one another.
Meal periods must be at least 60 minutes in length.
4
To use the settings from this meal for all of the patient’s other meals, make sure the check
box next to Use these parameters for all of this patient’s meals is selected.
5
After you finish creating or editing a meal period, click SAVE.
6
To remove a meal period, click DELETE MEAL. Click DELETE when asked to confirm.
7
CareLink Pro can remember these settings for this patient the next time you run a report for
him or her. To save them for this patient, click SAVE SETTINGS.
8
Click NEXT at the top of the Reports workspace.
This is the Select and Generate Reports step of the process. It provides a list of report types as
well as a Data Table that helps you choose to include or exclude certain days of data from the
Daily Detail report(s).
NOTE: To modify the Data Table display, click >> customize columns. See Report
Generation preferences on page 15.
9
To print the screen, click the PRINT icon
.
Selecting report types and inclusion dates
1
Select the check box next to the report(s) you want to include in the report set.
NOTE: The Dashboard/Episode Summary report check box will not be available if there
are less than five days of sensor data and pump data in the selected time period or if
the data in the time period is from a Guardian monitor.
2
If data has been read from a pump or Guardian monitor more than once during this
reporting period, there may be multiple device snapshots:
a. Make sure the check box is selected next to Device Settings Snapshot.
b. Click the drop-down arrow and select a snapshot date and time.
-
Pump: Select a snapshot from the patient’s pump.
-
Guardian: Select a snapshot from the patient’s Guardian monitor.
If either field is dimmed, there are no snapshots available during the reporting period.
3
Scroll though the Data Table to review the available Daily Detail report information.
-
You can sort the data in each column. Click the column heading to sort the data in
ascending order. Click the heading again to sort the data in descending order.
NOTE: If there is no data for a certain date, that date cannot be selected.
4
Select the check box in the Data Table rows for any date for which you want a Daily Detail
report.
-
To include or exclude all Daily Detail report dates with one click, select the check box at
the top of the Data Table check box column.
Generating reports
1
After you verify your report selections, click GENERATE REPORTS at the top of the Reports
workspace.
A list of options is displayed.
2
Select an option to preview, print, or save the report(s).
If you selected Preview, the Preview window is displayed.
3
Click the arrow buttons to navigate through multi-page reports.
4
Click one of the other buttons at the top of the Preview window to save or print the
report(s).
5
To close this window, click the Close button
in the upper right corner of the window.
About reports
This topic provides a description of each report. More details about the report components, as
well as sample reports are contained in the Report Reference Guide. You can access the Report
Reference Guide through the CareLink Pro software:
1
Help > View Report Reference Guide (PDF).
2
Select a language for the Report Reference Guide.
The CareLink Pro reports share these common elements:
•
Report header — The report header contains identifying information, such as the name of
the report, the patient's name, and the source of the data.
•
Carbohydrates and blood glucose levels — Within the graphs and charts, carbohydrate
units are displayed in italics and blood glucose levels are displayed in bold.
•
Weekend data — Weekend days are in bold so you can easily identify them.
•
Legends — A legend of symbols appears at the bottom of each report. While a symbol may
be used in multiple reports, the legends are unique to each report.
The Dashboard and Episode Summary is a two-page report that is designed to provide a
summary of a patient’s overall glycemic control for a selected time period. The first page of the
report is called the Therapy Management Dashboard, and the second page is the Episode
Summary. A description of each page is provided below.
Therapy Management Dashboard
The Therapy Management Dashboard allows you to see the overall level of glycemic control by
time of day. The Dashboard page plots sensor glucose overlay traces and insulin delivery
information on a daily graph. The Dashboard also shows overnight time period and periods
around mealtimes, to help you assess glycemic control before and after meals. Using these
graphs, you can visually discern key clinical patterns such as hyperglycemia, hypoglycemia and
variability within the overall graphical view of glycemic control. The Dashboard includes a
statistical analysis of hypoglycemic and hyperglycemic patterns recurring at particular times of
the day.
In addition, the Dashboard provides the ability to correlate glycemic control by time-of-day with
key therapy modifiers, such as basal pattern, insulin absorption, insulin sensitivity, and
carbohydrate ratios. This reduces the need to correlate events across multiple reports manually.
Lastly, the Dashboard shows overall statistics of pump and sensor use.
Episode Summary
The Episode Summary page provides details of hypoglycemic and hyperglycemic episodes. It
highlights the most critical episodes, and the frequency of correlated events of interest for further
investigation. If applicable, the report enumerates the commonly known causes for hypoglycemic
and hyperglycemic excursions and provides therapy considerations.
Lastly, the Episode Summary provides overall observations regarding key behavioral or
compliance measures related to insulin pump, CGM and BG meter usage. These observations may
not be episode-related.
Adherence Report
The Adherence Report presents data that describes how insulin pumps and sensors are used and
the patient’s behavior relevant to his or her therapy. It answers the question, “Was there enough
data to provide an accurate picture of how the patient uses his or her insulin pump and sensor, if
applicable.” It also answers the question, “Do patients adhere to the therapy as instructed?” It also
indicates whether you may need to speak to your patients about the way they are managing their
diabetes.
Sensor and Meter Overview Report
The Sensor and Meter Overview Report provides a graphical representation of the patient's daily
sensor and meter-derived glucose levels and averages, including hourly breakdowns over 24
hours and as they relate to his or her meals and sleep patterns. Statistics on the patient's glucose
readings and insulin usage are also included.
A similar analysis of sensor data is generated as the first page of this report if sensor data is
available. When no sensor data is available, the meter data analysis page will be generated as the
first page.
The final page(s) of the report shows the day-to-day level and quality of your patient’s glycemic,
carbohydrate, and insulin control. Each page shows how that control varies during each day
across the entire reporting period up to a 14 day maximum per page.
Logbook Report
The Logbook Report provides meter glucose, carbohydrate, and insulin data for each day in the
reporting period. It provides a diary of events recorded hourly, as well as daily averages and
totals. Each page contains up to 14 days. If the reporting period exceeds 14 days, extra pages are
generated.
The Device Settings Snapshot Report presents a snapshot of the settings for the patient's pump
or Guardian REAL-Time monitor for a specific date and time. This can help you understand other
reports or can simply document your patient's settings.
The pump or monitor settings are recorded only when the device is read. If the device was not
read during the reporting period, no settings will be available.
Daily Detail Report
The Daily Detail Report shows glucose data, carb amounts, and the patient’s insulin usage for the
selected day. A separate report is generated for each day you select from the Data Table.
The Daily Detail Report provides a detailed look at each day you select. It allows you to focus on a
particular day if you feel something of interest to the patient’s therapy was occurring.
Exporting data
You can export device data that is acquired and stored by CareLink Pro. This gives you all of a
patient’s device data to use for statistics or the creation of specialized reports or charts. The .csv
file can be imported into Microsoft Excel or certain clinical statistics programs where you can
further manipulate the data.
The .csv file contains data recording the actions of the device. For example, it lists the recording
of meter readings, the pump receiving the meter reading value, or change in basal rate.
NOTE: This is an advanced feature and requires you to be familiar with the raw device data.
It also requires proficiency with any software into which you import the .csv file.
Follow these steps to use the CareLink Pro export feature:
1
Click the patient’s tab or click the Open Patient button
and double click the patient’s
name.
2
Make sure the Reports workspace is displayed.
3
Use the Duration or From/Through fields to set the dates and length of the report.
The maximum duration you can select is 12 weeks.
4
Click the export selected data link.
The Export Data to CSV File dialog box is displayed.
5
Navigate to the location where you want to store the .csv file on your computer. If you want
to change the name of the file, type it into the File name box.
6
Click SAVE.
NOTE: For more information about the data displayed in CSV files, see the CSV data
appendix.
The .csv file is now saved on your computer in the location you selected. You can now
choose to import it into any program that supports this file type.
7
System administration
It is important that you regularly back up the CareLink Pro database. The database stores all
system data that has accumulated in your patient’s records, including profile information, devicederived data, and report settings.
It is also important that you have the latest version of CareLink Pro. Updated versions are
available periodically and may contain important enhancements. You can choose to search for
updates or to be notified when they are available.
Applying software updates
There will be occasional updates to the CareLink Pro software. When notice of an update is
displayed, take the following steps to download the latest software release.
NOTE: The database should be backed up before a software update is applied. See Backing
up the database on page 46.
1
Make sure an Internet connection is available and active on your computer.
2
The CareLink Pro Update message is displayed when there is an update to CareLink Pro. It
gives you the option to download the update.
3
Click DOWNLOAD. (If you click CANCEL, the update notice will close. You can download the
update at a later time.)
A warning message is displayed that recommends backing up your database.
4
Click YES to create a backup of your database (see Backing up the database on page 46 for
this procedure). Click NO if you have already backed up your data.
A message is displayed to confirm that the new version of CareLink Pro has been
downloaded.
5
To begin using the latest version of CareLink Pro, click YES to close and reopen the software
application. Click NO if you would prefer to wait before restarting CareLink Pro.
System administration 45
Turning off automatic updates
If you do not want to receive automatic notification of CareLink Pro updates, follow these
steps:
1
2
Click the General tab.
3
Under the Communications section, clear the check box next to Automatically check for
software updates.
Manually checking for updates
You can manually check for CareLink Pro updates at any time.
NOTE: The database should be backed up before a software update is applied. See Backing
up the database on page 46.
1
Make sure an Internet connection is available and active on your computer.
2
Select Tools > Check for Software Updates.
3
You will receive a message if no updates are currently available. If an update is available, a
CareLink Pro Update message is displayed.
4
Follow the procedure in Applying software updates on page 45.
Backing up and restoring the database
It is a good idea to establish a regular schedule by which to perform database backups. This will
help ensure that it is done regularly and will minimize the risk of data loss.
If you are backing up or restoring the database, the system displays an alert message if there are
active users of the software on other computers.
Backing up the database
The following steps let you back up the current database to the location you select.
1
Make sure all patient records are closed.
2
Select Tools > Backup Database.
NOTE: Database backups can be saved on a network drive or to removable storage
(such as a DVD, CD, or USB drive).
3
Navigate to the location on your computer where you want to save the backup file. If you
want to change the name of the backup file, type it into the File name box.
4
Click Save. A progress bar is displayed while the database is saved.
A message is displayed when the backup is complete.
5
Click OK to close the message.
Restoring the database
The current database may need to be replaced if it can no longer be accessed or used. The
more current your backup, the less data you will lose if you replace the database.
CAUTION: When you restore the database with a backup copy, you lose all the new data
created in the current database since the selected backup copy was made.
The following steps let you select a backup copy to replace the current database.
1
Make sure all patient records are closed.
2
Select Tools > Restore Database.
3
Select the backup file you want to use to replace the current database (usually the most
recent).
4
Click Open. A warning message is displayed to remind you about the data that may be lost if
you continue the database restore.
5
To continue, click OK. A progress bar is displayed while the database is being restored.
A message is displayed when the database is restored.
6
Click OK to close the message.
When the system is unavailable
If you attempt to start the system while another user is performing a backup or restore, you will
receive a message notifying you that the system is not available. You will not be able to access
the system until the task is complete.
Do one of the following:
•
Wait for the process to complete and for the system to become available.
•
Click CANCEL to exit and try again later.
8
Troubleshooting
This topic is designed to help you solve issues that may occur while using CareLink Pro software.
It also contains instructions for uninstalling the CareLink Pro software if necessary.
General application use errors
If you try to download a software upgrade over the Internet, you may receive the message
that you do not have sufficient privileges to do so. You must have administrative privileges to
download CareLink Pro software upgrades.
1
Close the CareLink Pro software application, and restart your computer system.
2
Have someone with administrative privileges log in to the computer.
3
Follow the instructions in Applying software updates on page 45.
Not connected to the database
An error message stating that you are not connected to the database indicates one of the
following:
•
The database has been moved. The database must be located in the same place that was
selected during installation of the CareLink Pro software. If it has been moved, it must be
moved back to the location selected during installation.
•
You are not connected to the network drive where the database is located. If the database is
located on a network drive, the network may occasionally experience problems that prevent
you from accessing the drive. Contact your computer support department for help in
reconnecting to the network drive where the database is located.
Troubleshooting
48
Forgot the clinic password for CareLink Pro
If no one can remember the password your clinic uses to log in to CareLink Pro, the CareLink Pro
software must be re-installed and a new database created. After you re-install the software, you
will not be able to access any patient information that was in the previous database. Store the
password that you created during the new installation somewhere in the office so that you will
not lose future data.
Device read errors
Error
Explanation
The selected serial port could not be opened. Another
operation might be in progress on that port. Please
wait until the port is available, or select another port.
Please verify that the com port selected is not in use
by another program, or select a different port. Try
rebooting the computer you are using and then try
the device read again. The hardware (such as the
cable) connected to the port or the port itself may be
bad. Connect the hardware to another port and try
the device read again to help determine the problem.
Auto Detect could not find the device on any
available port. Please check the cable connection,
device battery & status and try again, or try specifying
a serial port.
Check the connection between the cable and the PC,
and verify that the device battery status is fine. If so,
try specifying the PC serial port to which the cable is
connected, rather than selecting Auto Detect.
Device not found at selected serial port. Please check
the cable connection, device battery & status and try
again, try selecting a different port, or try to Auto
Detect the device.
Check the connection between the cable and the PC,
and verify that the device battery status is fine. If so,
try either selecting a different PC serial port number,
or choose the Auto Detect option.
Unable to communicate with the device. Please ensure
you’ve attached and selected the correct device, check
the cable connection, device battery and status, and
try again.
Verify all settings selected for the device read,
including device name, serial number, and type of
connection. Also check to make sure that the device,
cable, and PC are connected properly. Verify the
battery and alarm status of the device are okay. Try
the read again.
Unexpected response... retrying (n%)
An unexpected value was read from the device. The
system retries communication until you cancel or
communication succeeds.
The link device was found, but the device (<serial #>)
is not responding. Please verify the device’s serial
number, place the device closer to the link device to
minimize signal interference, check device battery and
status.
Verify that the correct serial number was entered. If
not, re-enter the correct serial number. If the serial
number is correct, try moving the link device closer to
the communication device. Move the link device and
communication device away from possible
interference (such as other RF devices). Check the
device's battery strength and if uploading an insulin
pump, check the pump delivery status.
This pump is delivering a temp basal. Please cancel
the temp basal or wait until it completes, and then try
again.
The pump you are attempting to read is delivering a
Temp basal. Either wait until the Temp basal
completes to read the pump, or cancel the Temp
basal and then read the pump.
This device has active errors or alarms. Please clear
the alarms and try again.
There are active alarms on the pump that prevent it
from being read. Read the alarm instructions for
clearing the alarm. Clear the alarm and try the pump
read again.
This pump is delivering a bolus. Please cancel the
bolus or wait until it completes, and then try again.
The pump you are attempting to read is delivering a
bolus. Either wait until the bolus completes to read
the pump, or cancel the bolus and then read the
pump.
The device returned invalid entries; all data read will
be discarded.
Contact your local country representative (see
Assistance on page 2).
Troubleshooting
49
Report creation errors
Multiple data entries for the same date
If multiple data entries exist for the same date and time for the same device, the system considers
this to be a conflict that it cannot resolve. Reports created using this device data will omit the
portion of data that overlaps.
You can try to adjust the reporting period to miss the overlapping data. Or, you can remove the
device from the system and then add it back again to clear the previous readings.
System is going to ignore data
If the time on a device has been changed causing overlaps or gaps in data of three hours or
longer, the system does not include that portion of data when creating reports.
Backup and restore errors
The database cannot be locked
This means that you are using the system in a multi-user environment, and other users are logged
in. The system will not allow a database backup to be performed while other users are potentially
performing tasks that may affect the database. Once all other users exit CareLink Pro, you can
perform the database backup.
A database backup or restore is not completing
Other users cannot log in and the backup or restore cannot complete. Please contact your local
country representative (see Assistance on page 2).
A restore database fails
The database backup file you are attempting to use in the restore process is corrupt. Try restoring
with a different backup file.
Uninstalling the software
If you need to uninstall CareLink Pro, complete the following steps:
1
Open the Control Panel through your Windows Start menu.
2
Select Add or Remove Programs.The Windows Add or Remove Programs window is
displayed.
3
Scroll down to Medtronic CareLink Pro and click on it.
4
Click Remove. The Install Shield Wizard is displayed.
5
Click Next. A message is displayed asking you to confirm that you want to remove the
application.
Troubleshooting
50
6
Click Yes. The uninstall program runs and removes the program and all of its files from your
computer. When it is done, a message displays on the wizard screen confirming the
uninstall.
7
Click Finish.
Troubleshooting
51
9
Icon table
The icons and symbols on the packaging labels and the equipment are described in the following
table:
Description
One per container/package
Icon
(1X)
CD enclosed
Consult instructions for use
Date of manufacture (Year)
Catalogue number
Conformité Européene (European Conformity). This
symbol means that the device fully complies with
MDD 93/42/EEC.
Icon table
52
A
CSV data
When you export report data from the CareLink Pro software, it is exported into a .csv file. This file
can then be imported into a spreadsheet application, such as Microsoft Excel. See the CSV file
column definitions for a complete listing of the data that can be contained in a CSV file.
The CSV file contains the name and Patient ID for the patient, the reporting period, and identifies
each device included in the report.
Column data definitions
Column heading
Definition
Index
The order in which data was recorded in the device.
Date
The date data was recorded in the device.
Time
The time data was recorded in the device.
New Device Time
The new date and time if this was changed in the
device.
BG Reading (mmol/L or mg/dL)
The blood glucose reading recorded by the meter,
Guardian, or pump. If the data is from a pump or
Guardian, this column reflects manual BGs and BGs
received from a Link meter.
Linked BG Meter ID
The serial number for the meter that sent a particular
blood glucose reading to the device.
Basal Rate (U/h)
The active basal insulin delivery rate in units per hour.
Temp Basal Amount
If a temp basal was applied on the pump, this value is
the temp basal amount.
Temp Basal Type
The type of temporary basal adjustment (insulin rate
or percent of basal).
Temp Basal Duration (m)
The length of time in minutes for the temporary basal
insulin delivery (see type above).
Bolus Type
The bolus insulin delivery type [Normal, Square, Dual
(normal part), or Dual (square part)].
Bolus Volume Selected (U)
The number of units of insulin selected to be
delivered during the bolus insulin delivery.
CSV data
53
Column heading
Definition
Bolus Volume Delivered (U)
The number of insulin units actually delivered during
the bolus insulin delivery.
Programmed Bolus Duration (h)
Duration of a square bolus or the square portion of a
dual wave bolus.
Prime Type
Manual or fixed. Manual is used just after a rewind, to
fill the infusion set tubing with insulin before inserting
it. Fixed is used after infusion set insertion to fill the
soft cannula with insulin after removing the introducer
needle.
Prime Volume Delivered (U)
The number of units of insulin actually delivered for
the prime.
Alarm
The name of the alarm that occurred.
Suspend
Identifies the suspended state of the pump.
Rewind
Date and time the device was rewound.
BWZ Estimate (U)
The bolus insulin estimate calculated by the Bolus
Wizard feature on the Paradigm pump.
BWZ Target High BG (mmol/L or mg/dL)
The setting for the high end of the blood glucose
target range, used by the Bolus Wizard feature.
BWZ Target Low BG (mmol/L or mg/dL)
The setting for the low end of the the blood glucose
target range, used by the Bolus Wizard feature.
BWZ Carb Ratio
The setting for insulin-to-carbohydrate ratio. If grams
are used as the units, the ratio is the number of
grams covered by one unit of insulin. If exchanges are
used for units, the ratio is the number of insulin units
used to cover one exchange.
BWZ Insulin Sensitivity
The setting for insulin sensitivity. Insulin sensitivity is
the amount the blood glucose level is reduced by one
unit of insulin. This is used by the Bolus Wizard
feature.
BWZ Carb Input
Amount of carbohydrates entered into the Bolus
Wizard and used to estimate a bolus.
BWZ BG Input (mmol/L or mg/dL)
Blood glucose reading when entered into the Bolus
Wizard and used to estimate a bolus.
BWZ Correction Estimate (U)
Units of bolus insulin to give for blood glucose level
correction, as calculated by the Bolus Wizard feature.
BWZ Food Estimate (U)
The estimated units of bolus insulin to give to cover
the expected amount of carbohydrate consumption,
as calculated through the Bolus Wizard feature.
BWZ Active Insulin (U)
The amount of active insulin calculated to be left in
the body from prior bolus insulin deliveries when
determining the estimated bolus amount through the
Bolus Wizard feature.
Sensor Calibration BG (mmol/L or mg/dL)
The BG value used for calibrating the sensor in
mmol/L or mg/dL.
Sensor Glucose (mmol/L or mg/dL)
The sensor glucose value.
ISIG value
Input signals (ISIG), being read from the sensor,
measured in nanoamperes (nA).
More about CSV files exported by CareLink Pro
The title at the top of the CSV file includes the following:
CSV data
54
•
patient’s name
•
a list of selected devices and their serial numbers
•
selected date range
Each block of columns has a title that includes the following:
•
name of the device to which the block of data applies
•
serial number of that device
If data is not displaying as expected
A number of different factors can cause the CSV data to display differently than expected.
•
Date or time changes on the device can change the sequence or cause records outside the
selected date range to be shown.
•
If there is a large gap between device reads, data for that device may be displayed in multiple
blocks.
CSV data
55
Glossary
A1C - Glycosylated hemoglobin
A1C Test - Hemoglobin A1C test, used to interpret blood glucose level over a period of time.
Area Under the Curve (AUC) - Indicates the amount in high and low excursions as determined by
preset values. Excursion data indicates the frequency of highs or lows. AUC indicates the
magnitude of events by showing how far out of range and for how long.
Audio bolus - The pump can be programmed so the user hears a beep when he or she selects a
bolus insulin amount (0.5 or 1.0 units) to be delivered. This is useful for situations when it is
difficult to see the buttons on the pump.
Basal insulin - An hourly, continuous infusion of insulin delivered automatically by an insulin
pump based on preprogrammed profiles and personalized rates set in the pump. The pump
delivers a daily infusion of insulin that typically covers background insulin needs during periods
of fasting (such as overnight and between meals).
Basal patterns - Users can program up to three different basal rate patterns into their pump for
the delivery of basal insulin: Standard, A, and B. For each pattern, there is the option of setting
up to 48 basal rates.
Basal profile - A basal rate with a start and stop time. Users can program several different profiles
into their pump, each with a different basal rate, during a 24-hour period of time to achieve
better glucose control.
Basal rate - The pump setting that provides a continuous infusion of insulin to keep the blood
glucose stable between meals and during the night. Basal insulin mimics pancreatic insulin
delivery—which meets all the body's non-food related insulin needs.
BG - Abbreviation for blood glucose.
Bolus insulin - A dose of insulin given to cover an expected rise in blood glucose (such as the rise
after a meal or a snack) or to lower a high blood glucose down to target range.
Cal Reminder - The pump will trigger a Meter BG By HH:MM alert automatically every 12 hours,
signaling that the current calibration value is no longer valid. The value of the Cal Reminder is
the amount of time before the current calibration value expires by which the user wants to be
reminded to calibrate. For example, if the Cal Reminder is set to 2 hours, the Meter BG By
HH:MM alert will occur 2 hours before calibration is required.
Carb ratio (carbohydrate ratio) - The amount of carbohydrates covered by one unit of insulin.
(Also see exch ratio.)
Carb units - The food entry when using the Bolus Wizard. Entered as (carbohydrate) grams or
exchanges.
CareLink® Personal - An online service that allows management of diabetes data via the Internet.
CH - Carbohydrate
Glossary
56
ComLink - A radio frequency (RF) transceiver device used to download Paradigm pump data to
the computer.
Com-Station - A device used to download MiniMed 508 pump and pass-through third-party
meter data to the computer.
Correction bolus - The amount of insulin needed to return a high blood glucose level back down
to target range.
Correction bolus factor - How much 1.0 unit of insulin will lower your blood glucose. This factor is
used to calculate a correction bolus amount when your blood sugar is high. (BG level) - (BG
target) = X. X ÷ (correction bolus factor) = correction bolus amount
Dual Wave® bolus - Combination of a Normal bolus that is delivered immediately, then followed
by a Square Wave bolus. The Square Wave portion is delivered evenly over a period of time.
Easy Bolus™ - Method of delivery for a Normal bolus by using the Easy Bolus button on the pump.
Exch ratio (exchange ratio) - The amount of insulin required to cover one (1) carbohydrate
exchange. (Also see carb ratio.)
Express bolus - Method of delivery for any bolus type using the express bolus button on the
pump.
Food bolus - A dose of insulin given to cover the expected rise in blood glucose that occurs after
eating.
HbA1c - Glycosylated hemoglobin.
HbA1c Test - Hemoglobin A1C test, used to interpret blood glucose control or average of levels
over a 2- to 3-month period of time.
High Glucose - The pump will alarm if the sensor indicates that the user’s sensor glucose is at or
above this value. You have the option to turn this feature on or off.
Hyperglycemic - Elevated blood glucose as seen by monitoring blood glucose levels with or
without any or all of the following symptoms: nausea, vomiting, blurred vision, headache,
gastric distress, frequent urination of large amounts, and lethargy.
Hypoglycemic - Low blood glucose as seen by monitoring blood glucose levels, with or without
any or all of the following symptoms: excessive hunger, shaking or tremors, perspiration,
dancing visions, light-headedness, headache, blurred speech, sudden mood swings, or
personality change.
Infusion set - The apparatus used for inserting and securing a cannula below the skin and
transporting insulin to the insertion site via tubing from the pump.
Insulin concentration - The strength or type of insulin the doctor has prescribed for the user. This
affects the rate of insulin the pump delivers. If the user’s insulin concentration changes, the
basal patterns and the maximum basal and bolus rates must be reprogrammed in the pump.
Insulin sensitivity - The amount of mmol/L (or mg/dL) that your blood glucose (BG) level is
reduced by one unit of insulin. (Bolus Wizard data.)
ISIG - Sensor values that indicate whether the transmitter electronics in a sensor-augmented
system are working properly. If you see an ISIG value that is less than 24.00 nA or more than
29.00 nA, call for product assistance. It may be time to replace your transmitter.
Ketone test - Ketone is a waste product that is produced when the body is forced to burn body fat
instead of glucose for energy. It may be a sign of lack of insulin in the body. The Ketone test
measures the amount of ketone concentrated in the blood or urine.
Link
(1) To turn on and setup the meter option that allows the pump to receive BG readings from a
meter that communicates with your pump.
(2) It is also used in this system to refer to hypertext links. When clicked on, hypertext links take
you to another place in the system or to another Web site.
Low Glucose - The pump will alarm if the sensor indicates that the user’s sensor glucose is at or
below this value. You have the option to turn this feature on or off.
Glossary
57
Low reservoir warning - Programmable warning that notifies you with an alert when either a
specified number of units remain in the reservoir of your pump, or a specified amount of time
remains before the reservoir will be empty.
Manual bolus - Optional item available in the BOLUS MENU when the Bolus Wizard is active. One
method of programming a bolus without the Bolus Wizard.
Max basal insulin - The maximum amount of basal insulin that the pump will deliver at one time.
(Set by the user.)
Max bolus - The maximum amount of bolus insulin that the pump will deliver at one time. (Set by
the user.)
Mean Absolute Difference % (MAD%) - Represents the level of accuracy in calibration of the
sensor to BG meter readings. The lower this number, the greater the calibration accuracy. MAD
% is calculated by taking the difference between closely occurring pairs of sensor glucose and
BG meter readings, dividing by the BG meter reading, and then averaging across all pairs.
Meter - A medical device for determining the approximate concentration of glucose in the blood.
A small drop of blood is placed on a disposable test strip, which the meter reads and uses to
calculate the blood glucose level. The meter then displays the level in mmol/L or mg/dL.
Meter option - Feature that allows the pump to receive BG readings from a linked BG meter.
Normal bolus - An immediate delivery of a specified unit amount of insulin.
Pattern feature - Extended pump feature that allows you to program optional basals (Pattern A,
Pattern B) that support activities or glucose patterns that are not a part of your day-to-day
routine, but are usual in your lifestyle. Such activities could be a sport that you do once a week,
a change in your sleep pattern over the weekend, or hormonal changes during a menstrual
cycle.
Pattern, standard - Your normal basal that supports your usual day-to-day activity. When the
Patterns feature is off, the pump uses your standard (basal) pattern.
RF - Radio frequency (RF).
Square Wave® bolus - Bolus delivered evenly over a specified time period (30 minutes to 8 hours).
Square Wave portion - (Sq) The second part of a Dual Wave bolus. The Square Wave portion
delivers evenly over a period of time after the NOW portion delivers.
Step - Measurement of insulin that you set and use for Easy Bolus delivery.
Suspend - Function on the pump that stops all insulin delivery. Any current bolus and/or prime
deliveries are canceled. The basal delivery is paused until restarted.
Temp - Temporary.
Temp basal (tmp basal) - Temporary, one-time basal insulin with a specified amount and
duration. Used to support insulin needs for special activities or conditions that are not part of
the normal daily routine.
Transmtr ID - The serial number of the transmitter currently in use.
Upload - The process for transferring pump or meter data to the CareLink® Personal server.
Glossary
58
Index
A
about reports 41
Adherence report 42
Daily Detail report 43
Dashboard and Episode Summary 41
Device Settings Snapshot 43
Logbook report 43
Sensor & Meter Overview report 42
activating devices 32
adding a device to the system 27
adding a Guardian monitor to the system 27
adding a meter to the system 29
equivalent meter names to choose 4
adding a patient 19
adding a patient’s device to the system
Guardian monitor 27
meters 29
pumps 27
adding a pump to the system 27
Adherence report
about 42
B
backing up the database 46
basic CareLink Pro tasks 7
Bayer Ascensia® DEX®
devices equivalent to 4
Bayer Ascensia ELITE™ XL
devices equivalent to 4
buttons on the toolbar 8
C
cables for connecting devices to computer
serial 24
USB 24
CareLink Personal
getting data 21
linking to an account 20
email invitation 20
existing account 20
checking
for device data for reports 37
closing patient profiles 10
ComLink 4, 25
communication devices supported by
CareLink Pro 4
communications devices supported 2
Com-Station 4
connecting devices to computer 23
cables 24
computer connections 24
serial 24
USB 24
meter options 23
optional components 25
ComLink 25
connecting devices to your computer
serial 24
USB 24
overview 24
contraindications 5
copying the database for backup 46
creating patient profiles 19
creating reports 36
checking for device data 37
getting new device data 38
making your own report 43
opening the reports workspace 36
previewing 41
printing 41
saving 41
selecting devices 37
selecting report types and inclusion
dates 40
selecting the reporting period 36
verifying report settings 39
CSV files
exporting device data to 43
Index
59
D
Daily Detail report
about 43
about 41
data communications cable 4
data communications cable supported 4
database
copying for backup 46
restoring with backup copy 47
deleting a patient’s device from the system 32
device data
getting data from CareLink Personal 21
getting it from a patient’s device 32
linking to CareLink Personal 20
email invitation 20
existing account 20
about 43
devices
activating 32
adding to the system 27, 29
Guardian monitor 27
meters 29
pumps 27
checking for data for reports 37
connecting to computer 23, 24, 25
computer connections, serial 24
optional components, ComLink 25
connecting to your computer 24
overview 24
deleting 32
deleting from the system 32
exporting data 43
getting data 32, 38
new data for reports 38
inactivating 32
ordering 4
selecting for reports 37
storing in the system 31, 32
inactivating 32
making active 32
supported 2, 3, 4
ComLink 4
Com-Station 4
glucose meters 3
insulin pumps 2
meter data communications cable 4
supported by CareLink Pro 2
devices workspace
adding devices 27, 29
Guardian monitor 27
meters 29
pumps 27
deleting devices 32
getting device data 32
storing devices 31, 32
inactivating 32
making active 32
documents related to this user guide 2
downloading software updates 45
E
editing patient profiles 19
email invitation to set up a CareLink
Personal account 20
equivalent devices
alternative meter names to choose 4
existing CareLink Personal account
linking to 20
exporting device data 43
F
features of CareLink Pro 1
security 2
G
general preferences
setting 11
generating reports 41
previewing 41
printing 41
saving 41
getting a patient’s device data 32
getting device data
from CareLink Personal 21
email invitation 20
existing account 20
new data for reports 38
global system preferences
setting 11, 12, 13, 14, 15, 17
general preferences 11
open patient preferences, choosing
data 14
patient lookup preferences 14
patient lookup preferences,
changing column order 14
patient profile preferences 12
patient profile preferences, adding a
custom field 13
patient profile preferences,
changing field order 13
patient profile preferences, choosing
data fields 13
report generation preferences,
choosing data 15
understanding 11
glucose meters supported 2
glucose meters supported by CareLink Pro 3
Guardian monitor
adding to the system 27
Index
60
Guardian monitors
inactivating 32
Guide Me feature 9
H
hardware connections 23
cables 24
serial 24
USB 24
meter options 23
optional components 25
ComLink 25
overview 24
USB 24
HelpLine, contacting 2
how to use this user guide 5
I
icons 52
inactivating devices 32
inclusion dates
indications for use 5
insulin pumps supported 2
insulin pumps supported by CareLink Pro 2
K
key features of CareLink Pro 1
L
linking to CareLink Personal accounts 20
email invitation 20
existing account 20
getting data 21
Logbook report
about 43
logging in
to CareLink Pro 8
M
Medtronic MiniMed products
ordering 4
meter cable 4
meter data communications cable
supported 4
meter name
equivalent devices 4
meters
activating 32
computer connections, USB 24
deleting 32
getting data 32
inactivating 32
options for communicating with
computer 23
ordering 4
supported 3
N
navigating
workspaces 8
navigating the CareLink Pro GUI 8
navigation bar
workspaces 8
notification of software updates 45
O
online device data
getting the data 21
email invitation 20
existing account 20
open patient preferences
setting 14
choosing data 14
opening
reports workspace 36
opening CareLink Pro 8
entering your password 8
logging in 8
opening patient profiles 10
optional devices for communicating with
computer 25
ordering
devices 4
Medtronic MiniMed products 4
meters 4
Paradigm Link 4
pumps 4
overview of CareLink Pro 1
P
Paradigm Link
ordering 4
password
entering for CareLink Pro 8
patient lookup preferences
setting 14
Index
61
patient profile preferences
setting 12, 13
adding a custom field 13
choosing data fields 13
patient profiles
closing 10
creating 19
editing 19
opening 10
PC
connecting devices 23, 24
connecting devices to it 24, 25
overview 24
preferences
system 11, 12, 13, 14, 15, 17
setting 11
setting, general preferences 11
setting, open patient preferences,
choosing data 14
setting, patient lookup preferences 14
setting, patient lookup preferences,
setting, patient profile preferences 12
setting, patient profile preferences,
adding a custom field 13
choosing data fields 13
setting, report generation
preferences 15
preferences, changing column
order 17
preferences, choosing data 15
understanding 11
previewing
reports 41
primary CareLink Pro tasks 7
printing
reports 41
product
overview 1
profiles
closing 10
creating 19
editing 19
opening 10
pumps
activating 32
communicating with the computer 33, 38
guidelines 33, 38
example 24
deleting 32
getting data 32
inactivating 32
ordering 4
supported 2
R
related documents 2
report generation preferences
setting 15, 17
choosing data 15
report settings
verifying 39
report types
reporting period
selecting 36
reports
about 41, 42, 43
Adherence report 42
Logbook report 43
creating 36, 37, 38, 39, 40, 41
checking for device data 37
getting new device data 38
opening the reports workspace 36
previewing 41
printing 41
saving 41
selecting devices 37
selecting report types and inclusion
dates 40
selecting the reporting period 36
verifying settings 39
creating your own 43
previewing 41
printing 41
saving 41
understanding 41
reports screen
overview 35
restoring the database 47
S
safety 5
Index
62
saving
reports 41
security features of CareLink Pro 2
selecting
devices for reports 37
report types and inclusion dates 40
the reporting period 36
Sensor & Meter Overview report
about 42
serial connections 24
settings
verifying for reports 39
software updates 45
starting the software 8
entering your password 8
logging in 8
storing a patient’s device on the system 31
inactivating 32
making active 32
supported communications devices 2
supported devices 2
ComLink 4
communication devices 4
Com-Station 4
glucose meters 3, 4
equivalent devices 4
insulin pumps 2
meter communications cable 4
supported meters 2
supported pumps 2
symbols 52
system preferences
setting 11, 12, 13, 14, 15, 17
general preferences 11
open patient preferences, choosing
data 14
patient lookup preferences 14
patient lookup preferences,
patient profile preferences 12
patient profile preferences, adding a
custom field 13
patient profile preferences,
patient profile preferences, choosing
data fields 13
report generation preferences 15
choosing data 15
understanding 11
U
understanding reports 41
Adherence report 42
Logbook report 43
updating software 45
USB connections 24
user guide
conventions 5
related documents 2
user interface
Guide Me 9
navigating 8
toolbar 8
user safety
contraindications 5
indications for use 5
warnings 5
V
verifying report settings 39
W
warnings 5
workspaces 8
T
toolbar for CareLink Pro
buttons 8
troubleshooting 48
Index
63

User Guide - Medtronic Diabetes

Transcription

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